| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $194.98 | $691.83 | |
Aetna
| Professional | $79.43 | $114.82 | $169.82 | |
BCBS
| Facility | $141.25 | $239.88 | $331.13 | |
Christus
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Facility | $87.10 | $87.10 | $1,023.29 | |
United
| Facility | $56.23 | $134.90 | $134.90 | |
United
| Professional | $56.23 | $67.61 | $186.21 |